person
Lori Younger Russell, CERTHAIRLOSSSPEC
Prosthetics Case Management in Springfield, Virginia
NPI 1629512835

Lori Younger Russell is a Prosthetics Case Management based in Woodbridge, VA and is specialized in Prosthetics Case Management. Lori Younger Russell practices in Springfield, VA and has the professional credentials of CERTHAIRLOSSSPEC. The NPI Number for Lori Younger Russell is 1629512835 and holds a License No. 1204018222 (Virginia).

The current practice location address for Lori Younger Russell is 6133 Backlick Rd, Springfield, VA and can be reached out via phone at 571-230-6302.

Location: 6133 Backlick Rd, Springfield, VA, 22191-4435
person
Provider Profile Details
NPI Number
1629512835
Provider Name
Lori Younger Russell
Credential
CERTHAIRLOSSSPEC
Provider Entity Type
Individual
Gender
Female
Address
6133 Backlick Rd, Springfield, VA, 22191-4435
Phone Number
571-230-6302
Fax Number
Provider Enumeration Date
12/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6133 Backlick Rd
City
State
Zip
22150-2637
Phone Number
571-230-6302
Fax Number
person
Provider Business Mailing Address Details
Address
6133 Backlick Rd
City
State
Zip
22150-2637
Phone Number
571-230-6302
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
1204018222 (Virginia)
Definition
Definition to come...
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